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TIME OUT for SAFETY PAUSE

E
Every
SAFETY PAUSE mustt confirm
fi
the
th following:
f ll i

CORRECT NAME AND DATE OF BIRTH


CORRECT PROCEDURE (confirmed with signed consent)
CORRECT SITE AND POSITION
CORRECT IMPLANTS and EQUIPMENT ARE AVAILABLE
DIAGNOSTIC EXAMS ARE LABELED & DISPLAYED
CORRECTLY (if applicable)
* new * NEED TO ADMINISTER ANTIBIOTICS OR FLUIDS FOR
IRRIGATION
* new * SAFETY PRECAUTIONS BASED ON PATIENT HISTORY
OR MEDICATION USE

A di
Any
discrepancies:
i

M tb
Must
be resolved
l d prior
i to
t incision!
i i i !

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